How genes affect weight loss with Contrave (naltrexone/bupropion)

Association of genetic variation near the dopamine D2 receptor gene and other polymorphisms that modulate dopaminergic and opioid signaling on the weight loss response to naltrexone/bupropion

['FUNDING_R01'] · COLUMBIA UNIVERSITY HEALTH SCIENCES · NIH-11250100

This work looks at whether adults' genes help predict how much weight they'll lose on Contrave (naltrexone/bupropion).

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorCOLUMBIA UNIVERSITY HEALTH SCIENCES (nih funded)
Locations1 site (NEW YORK, UNITED STATES)
Trial IDNIH-11250100 on ClinicalTrials.gov

What this research studies

Researchers will examine genetic differences near the dopamine D2 receptor and other variants that influence dopamine and opioid signaling to see how they relate to weight loss on Contrave. They will link genetic test results with clinical measures of weight loss to identify who gains the most benefit from naltrexone/bupropion. Participants will be classified as responders or non-responders based on percent weight loss and common genetic patterns will be sought. The goal is to move toward more personalized medication choices for weight management.

Who could benefit from this research

Good fit: Adults aged 21 and older with overweight or obesity who are considering or taking Contrave would be the best fit for this work.

Not a fit: People under 21, those not using naltrexone/bupropion, or individuals whose weight issues stem from other non-dopaminergic causes may not gain direct benefit from these findings.

Why it matters

Potential benefit: If successful, this could help clinicians pick Contrave for people most likely to benefit and avoid giving it to those unlikely to respond.

How similar studies have performed: Previous trials show Contrave yields about 6% average weight loss with roughly half of patients achieving clinically meaningful loss, but using genetics to predict individual response is still relatively new.

Where this research is happening

NEW YORK, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.